Muscle fatigue: what, why and how it influences muscle function

Adjustments in motor unit properties during fatiguing contractions after training

OBJECTIVE

The objective of the study was to investigate the effect of strength and endurance training on muscle fiber membrane properties and discharge rates of low-threshold motor units of the vasti muscles during fatiguing contractions.

METHODS

Twenty-five sedentary healthy men (age (mean ± SD) = 26.3 ± 3.9 yr) were randomly assigned to one of three groups: strength training, endurance training, or a control group. Conventional endurance and strength training was performed 3 d·wk⁻¹, during a period of 6 wk. Motor unit conduction velocity and EMG amplitude of the vastus medialis obliquus and lateralis muscles and biceps femoris were measured during sustained isometric knee extensions at 10% and 30% of the maximum voluntary contraction before and immediately after training.

RESULTS

After 6 wk of training, the reduction in motor unit conduction velocity during the sustained contractions at 30% of the maximum voluntary force occurred at slower rates compared with baseline (P < 0.05). However, the rate of decrease was lower after endurance training compared with strength training (P < 0.01). For all groups, motor unit discharge rates declined during the sustained contraction (P < 0.001), and their trend was not altered by training. In addition, the biceps femoris-vasti coactivation ratio declined after the endurance training.

CONCLUSIONS

Short-term strength and endurance training induces alterations of the electrophysiological membrane properties of the muscle fiber. In particular, endurance training lowers the rate of decline of motor unit conduction velocity during sustained contractions more than strength training.

Distinct profiles of neuromuscular fatigue during muscle contractions below and above the critical torque in humans

Whether the transition in fatigue processes between “low-intensity” and “high-intensity” contractions occurs gradually, as the torque requirements are increased, or whether this transition occurs more suddenly at some identifiable “threshold”, is not known. We hypothesized that the critical torque (CT; the asymptote of the torque-duration relationship) would demarcate distinct profiles of central and peripheral fatigue during intermittent isometric quadriceps contractions (3-s contraction, 2-s rest). Nine healthy men performed seven experimental trials to task failure or for up to 60 min, with maximal voluntary contractions (MVCs) performed at the end of each minute. The first five trials were performed to determine CT [∼35–55% MVC, denoted severe 1 (S1) to severe 5 (S5) in ascending order], while the remaining two trials were performed 10 and 20% below the CT (denoted CT-10% and CT-20%). Dynamometer torque and the electromyogram of the right vastus lateralis were sampled continuously. Peripheral and central fatigue was determined from the fall in potentiated doublet torque and voluntary activation, respectively. Above CT, contractions progressed to task failure in ∼3–18 min, at which point the MVC did not differ from the target torque (S1 target, 88.7 ± 4.3 N·m vs. MVC, 89.3 ± 8.8 N·m, P = 0.94). The potentiated doublet fell significantly in all trials, and voluntary activation was reduced in trials S1–S3, but not trials S4 and S5. Below CT, contractions could be sustained for 60 min on 17 of 18 occasions. Both central and peripheral fatigue developed, but there was a substantial reserve in MVC torque at the end of the task. The rate of global and peripheral fatigue development was four to five times greater during S1 than during CT-10% (change in MVC/change in time S1 vs. CT-10%: −7.2 ± 1.4 vs. −1.5 ± 0.4 N·m·min−1). These results demonstrate that CT represents a critical threshold for neuromuscular fatigue development.

Effects of fatiguing isometric and isokinetic ankle exercises on postural control while standing on firm and compliant surfaces

Background

Fatiguing exercises used across studies to induce alterations in postural control are diverse and may explain the different findings reported. This study aimed to compare the effects of two types of fatiguing plantarflexion exercises on postural control on a firm and a compliant surface. Ten healthy young men (29 ± 4 years) were asked to stand as steadily as possible for 30 s, blindfolded with feet together, on a firm and a compliant surface before and immediately after an isometric and an isokinetic fatiguing exercise.

Results

Maximal force reduction due to fatigue was found significant but similar between exercises. No significant difference was found between the fatiguing exercises on all Center of Pressure (CoP) parameters. Both fatiguing exercises induced increases in CoP excursion area, CoP variability and CoP velocity in both planes (antero-posterior, mediolateral) on the compliant surface. On the firm surface, both fatiguing exercises only induced increases in CoP variability and CoP velocity in the fatigued plane (antero-posterior).

Conclusions

Isometric and isokinetic fatiguing exercises, when producing a similar level of force reduction, induce similar decreases in postural control. The effects of fatigue on postural control in healthy young men are more pronounced when standing on a compliant surface, i.e. when proprioceptive information at the ankle is altered.

Power loss is greater following lengthening contractions in old versus young women

Compared with isometric and dynamic velocity-constrained (isokinetic) tasks, less is known regarding velocity-dependent (isotonic) muscle power and recovery in older adults following repeated fatiguing lengthening contractions. We investigated voluntary and evoked neuromuscular properties of the dorsiflexors in nine old (68.3 ± 6.1 years) and nine young women (25.1 ± 1.3 years) during and following 150 lengthening contractions for up to 30 min of recovery. At baseline, the old were ~21% weaker for maximum isometric voluntary contraction (MVC) torque (P < 0.05), ~21% slower for peak loaded shortening velocity (P < 0.05), and ~39% less powerful compared with the young (P < 0.05). Following the task, MVC torque was depressed equally (~28%) for both groups (P < 0.05), but power was reduced ~19% in the old and only ~8% in the young (P < 0.05). Both measures remained depressed during the 30-min recovery period. Peak twitch torque (P (t)) was ~50% lower in the old at task termination, whereas the young were unchanged. However, by 5 min of recovery, P (t) was reduced similarly (~50%) in both groups, and neither recovered by 30 min. The old were affected more by low-frequency torque depression than the young, as shown by the ~40% and ~20% decreases in the stimulated 10:50 Hz ratio at task termination respectively, whereas both groups were affected similarly (~50%) 5 min into recovery, and neither recovered by 30 min. Thus, the coexistence of fatigue and muscle damage induced by the repetitive lengthening contractions impaired excitation-contraction coupling and cross-bridge function to a greater extent in the old, leading to a more pronounced initial loss of power than the young for up to 10 min following the exercise However, power remained blunted in both groups during the 30-min recovery period. These results indicate that older women are more susceptible to power loss than young following lengthening contractions, likely owing to a greater impairment in calcium kinetics.

A subject-independent method for automatically grading electromyographic features during a fatiguing contraction

Many studies have attempted to monitor fatigue from electromyogram (EMG) signals. However, fatigue affects EMG in a subject-specific manner. We present here a subject-independent framework for monitoring the changes in EMG features that accompany muscle fatigue based on principal component analysis and factor analysis. The proposed framework is based on several time- and frequency-domain features, unlike most of the existing work, which is based on two to three features. Results show that latent factors obtained from factor analysis on these features provide a robust and unified framework. This framework learns a model from EMG signals of multiple subjects, that form a reference group, and monitors the changes in EMG features during a sustained submaximal contraction on a test subject on a scale from zero to one. The framework was tested on EMG signals collected from 12 muscles of eight healthy subjects. The distribution of factor scores of the test subject, when mapped onto the framework was similar for both the subject-specific and subject-independent cases.

Velocity loss as an indicator of neuromuscular fatigue during resistance training

PURPOSE

This study aimed to analyze the acute mechanical and metabolic response to resistance exercise protocols (REP) differing in the number of repetitions (R) performed in each set (S) with respect to the maximum predicted number (P).

METHODS

Over 21 exercise sessions separated by 48-72 h, 18 strength-trained males (10 in bench press (BP) and 8 in squat (SQ)) performed 1) a progressive test for one-repetition maximum (1RM) and load-velocity profile determination, 2) tests of maximal number of repetitions to failure (12RM, 10RM, 8RM, 6RM, and 4RM), and 3) 15 REP (S × R[P]: 3 × 6[12], 3 × 8[12], 3 × 10[12], 3 × 12[12], 3 × 6[10], 3 × 8[10], 3 × 10[10], 3 × 4[8], 3 × 6[8], 3 × 8[8], 3 × 3[6], 3 × 4[6], 3 × 6[6], 3 × 2[4], 3 × 4[4]), with 5-min interset rests. Kinematic data were registered by a linear velocity transducer. Blood lactate and ammonia were measured before and after exercise.

RESULTS

Mean repetition velocity loss after three sets, loss of velocity pre-post exercise against the 1-m·s load, and countermovement jump height loss (SQ group) were significant for all REP and were highly correlated to each other (r = 0.91-0.97). Velocity loss was significantly greater for BP compared with SQ and strongly correlated to peak postexercise lactate (r = 0.93-0.97) for both SQ and BP. Unlike lactate, ammonia showed a curvilinear response to loss of velocity, only increasing above resting levels when R was at least two repetitions higher than 50% of P.

CONCLUSIONS

Velocity loss and metabolic stress clearly differs when manipulating the number of repetitions actually performed in each training set. The high correlations found between mechanical (velocity and countermovement jump height losses) and metabolic (lactate, ammonia) measures of fatigue support the validity of using velocity loss to objectively quantify neuromuscular fatigue during resistance training.

Central and peripheral fatigue during passive and exercise-induced hyperthermia

PURPOSE

Hyperthermia was induced during prolonged exercise (ExH) and passive heating (PaH) to isolate the influence of exercise on neuromuscular function during a maximal voluntary isometric contraction (MVC) of the quadriceps under heat stress. The influence of cardiovascular strain in limiting endurance performance in the heat was also examined.

METHODS

On separate days, eight males cycled to exhaustion at 60% maximal oxygen uptake or were immersed in a water bath (∼41°C) until rectal temperature (Tre) increased to 39.5°C. The ExH and PaH interventions were performed in ambient conditions of 38°C and 60% relative humidity with Tre reaching 39.8°C during exercise. Before (control) and after each intervention, voluntary activation and force production capacity were evaluated by superimposing an electrically stimulated tetanus during a 45-s MVC.

RESULTS

Force production decreased immediately after PaH and ExH compared with control, with the magnitude of decline being more pronounced after ExH (P < 0.01). Mean voluntary activation was also significantly depressed after both interventions (P < 0.01 vs control). However, the extent of decline in voluntary activation was maintained at ∼90% during both PaH and ExH MVC. This decline accounted for 41.5% (PaH) and 33.1% (ExH) of the decrease in force production. In addition, exhaustion coincided with a marked increase in HR (∼96% of maximum) and a decline in stroke volume (25%) and mean arterial pressure (10%) (P < 0.05).

CONCLUSIONS

The loss of force production capacity during hyperthermia originated from central and peripheral fatigue factors, with the combination of heat stress and previous contractile activity exacerbating the rate of decline. Thus, the observed significant rise in thermal strain in ExH and PaH impaired neuromuscular function and was associated with an exercise performance limiting increase in cardiovascular strain.

Evaluation of muscle fatigue of wheelchair basketball players with spinal cord injury using recurrence quantification analysis of surface EMG

Wheelchair basketball is the most popular exercise activity among individuals with spinal cord injury (SCI). The purpose of this study was to investigate muscular endurance and fatigue in wheelchair basketball athletes with SCI using surface electromyography (SEMG) and maximal torque values. SEMG characteristics of 10 wheelchair basketball players (WBP) were compared to 13 able-bodied basketball players and 12 sedentary able-bodied subjects. Participants performed sustained isometric elbow flexion at 50% maximal voluntary contraction until exhaustion. Elbow flexion torque and SEMG signals were recorded from three elbow flexor muscles: biceps brachii longus, biceps brachii brevis and brachioradialis. SEMG signals were clustered into 0.5-s epochs with 50% overlap. Root mean square (RMS) and median frequency (MDF) of SEMG signals were calculated for each muscle and epoch as traditional fatigue monitoring. Recurrence quantification analysis was used to extract the percentage of determinism (%DET) of SEMG signals. The slope of the %DET for basketball players and WBP showed slower increase with time than the sedentary able-bodied control group for three different elbow flexor muscles, while no difference was observed for the slope of the %DET between basketball and WBP. This result indicated that the athletes are less fatigable during the task effort than the nonathletes. Normalized MDF slope decay exhibited similar results between the groups as %DET, while the slope of the normalized RMS failed to show any significant differences among the groups (p > 0.05). MDF and %DET could be useful for the evaluation of muscle fatigue in wheelchair basketball training. No conclusions about special training for WBP could be determined.

Stroke-related changes in neuromuscular fatigue of the hip flexors and functional implications

OBJECTIVE

The aim of this study was to compare stroke-related changes in hip flexor neuromuscular fatigue of the paretic leg during a sustained isometric submaximal contraction with those of the nonparetic leg and controls and to correlate fatigue with clinical measures of function.

DESIGN

Hip torques were measured during a fatiguing hip flexion contraction at 20% of the hip flexion maximal voluntary contraction in the paretic and nonparetic legs of 13 people with chronic stroke and 10 age-matched controls. In addition, the participants with stroke performed a fatiguing contraction of the paretic leg at the absolute torque equivalent to 20% maximal voluntary contraction of the nonparetic leg and were tested for self-selected walking speed (10-m Walk Test) and balance (Berg).

RESULTS

When matching the nonparetic target torque, the paretic hip flexors had a shorter time to task failure compared with the nonparetic leg and controls (P < 0.05). The time to failure of the paretic leg was inversely correlated with the reduction of hip flexion maximal voluntary contraction torque. Self-selected walking speed was correlated with declines in torque and steadiness. Berg-Balance scores were inversely correlated with the force fluctuation amplitude.

CONCLUSIONS

Fatigue and precision of contraction are correlated with walking function and balance after stroke.

Supraspinal fatigue impedes recovery from a low-intensity sustained contraction in old adults

This study determined the contribution of supraspinal fatigue and contractile properties to the age difference in neuromuscular fatigue during and recovery from a low-intensity sustained contraction. Cortical stimulation was used to evoke measures of voluntary activation and muscle relaxation during and after a contraction sustained at 20% of maximal voluntary contraction (MVC) until task failure with elbow flexor muscles in 14 young adults (20.9 ± 3.6 yr, 7 men) and 14 old adults (71.6 ± 5.4 yr, 7 men). Old adults exhibited a longer time to task failure than the young adults (23.8 ± 9.0 vs. 11.5 ± 3.9 min, respectively, P < 0.001). The time to failure was associated with initial peak rates of relaxation of muscle fibers and pressor response (P < 0.05). Increments in torque (superimposed twitch; SIT) generated by transcranial magnetic stimulation (TMS) during brief MVCs, increased during the fatiguing contraction (P < 0.001) and then decreased during recovery (P = 0.02). The increase in the SIT was greater for the old adults than the young adults during the fatiguing contraction and recovery (P < 0.05). Recovery of MVC torque was less for old than young adults at 10 min post-fatiguing contraction (75.1 ± 8.7 vs. 83.6 ± 7.8% of control MVC, respectively, P = 0.01) and was associated with the recovery of the SIT (r = -0.59, r(2) = 0.35, P < 0.001). Motor evoked potential (MEP) amplitude and the silent period elicited during the fatiguing contraction increased less for old adults than young adults (P < 0.05). The greater fatigue resistance with age during a low-intensity sustained contraction was attributable to mechanisms located within the muscle. Recovery of maximal strength after the low-intensity fatiguing contraction however, was impeded more for old adults than young because of greater supraspinal fatigue. Recovery of strength could be an important variable to consider in exercise prescription of old populations.

Optimality versus variability: effect of fatigue in multi-finger redundant tasks

We used two methods to address two aspects of multi-finger synergies and their changes after fatigue of the index finger. Analytical inverse optimization (ANIO) was used to identify cost functions and corresponding spaces of optimal solutions over a broad range of task parameters. Analysis within the uncontrolled manifold (UCM) hypothesis was used to quantify co-variation of finger forces across repetitive trials that helped reduce variability of (stabilized) performance variables produced by all the fingers together. Subjects produced steady-state levels of total force and moment of force simultaneously as accurately as possible by pressing with the four fingers of the right hand. Both before and during fatigue, the subjects performed single trials for many force-moment combinations covering a broad range; the data were used for the ANIO analysis. Multiple trials were performed at two force-moment combinations; these data were used for analysis within the UCM hypothesis. Fatigue was induced by 1-min maximal voluntary contraction exercise by the index finger. Principal component (PC) analysis showed that the first two PCs explained over 90% of the total variance both before and during fatigue. Hence, experimental observations formed a plane in the four-dimensional finger force space both before and during fatigue conditions. Based on this finding, quadratic cost functions with linear terms were estimated from the experimental data. The dihedral angle between the plane of optimal solutions and the plane of experimental observations (D (ANGLE)) was very small (a few degrees); it increased during fatigue. There was an increase in fatigue of the coefficient at the quadratic term for the index finger force balanced by a drop in the coefficients for the ring and middle fingers. Within each finger pair (index-middle and ring-little), the contribution of the "central" fingers to moment production increased during fatigue. An index of antagonist moment production dropped with fatigue. Fatigue led to higher co-variation indices during pronation tasks (index finger is an agonist) but opposite effects during supination tasks. The results suggest that adaptive changes in co-variation indices that help stabilize performance may depend on the role of the fatigued element, agonist or antagonist.

In vivo alterations in skeletal muscle form and function after disuse atrophy

Prolonged reductions in muscle activity and mechanical loading (e.g., bed rest, cast immobilization) result in alterations in skeletal muscle form and function. The purpose of this review article was to synthesize recent findings from several studies on the dramatic effects of disuse on skeletal muscle morphology and muscle performance in humans. Specifically, the following are discussed: 1) how the antigravity muscles are most susceptible to atrophy and how the degree of atrophy varies between muscle groups; 2) how disuse alters muscle composition by increasing intermuscular adipose tissue; 3) the influence of different disuse models on regulating the loss of muscle mass and strength, with immobilization causing greater reductions than bed rest and limb suspension do; 4) the observation that disuse decreases strength to a greater extent than muscle mass and the role of adaptations in both neural and contractile properties that influences this excessive loss of strength; 5) the equivocal findings on the effect of disuse on muscle fatigue resistance; and 6) the reduction in motor control after prolonged disuse. Lastly, emerging data warranting further inquiry into the modulating role of biological sex on disuse-induced adaptations are also discussed.

Reproducibility of velocity-dependent power: before and after lengthening contractions

The determination of power using isokinetic testing has been shown to be highly reliable. However, isotonic and isokinetic testing involve specific mechanical constraints that likely necessitate different neuromuscular strategies. Therefore, the purpose here was to establish test–retest intrarater reliability (separated by 7 days) of loaded maximal shortening velocity and velocity-dependent power of the ankle dorsiflexors using the isotonic mode of the Biodex dynamometer (i) at baseline and (ii) throughout recovery following 150 high-intensity lengthening contractions. Intraclass correlation coefficients (ICC)2,1 with 95% CIs were used to determine relative reliability, whereas absolute reliability included typical error (TEM) and typical error expressed as a coefficient of variation (TEMCV). Twenty-four young men and women volunteered for the study. Maximal shortening velocity and power were determined with a fixed resistance set at 20% of maximal voluntary isometric contraction across 2 testing sessions separated by 7 days. ICCs were 0.93 and 0.98 for maximal shortening velocity and peak power, respectively. Following the lengthening contractions, ICCs indicated high reliability for maximal shortening velocity and peak power, 0.86 and 0.94, respectively, suggesting that a similar amount of fatigue was incurred on both days. Measures of absolute reliability for maximal shortening velocity and peak power also yielded high reliability. The isotonic mode is highly reliable when testing velocity-dependent power of the ankle dorsiflexors at baseline and following fatiguing lengthening contractions. The high reliability of this measure is encouraging and suggests that the isotonic mode can be used in various settings to track group changes before and after training and following fatigue and lengthening contractions.

Mammalian muscle model for predicting force and energetics during physiological behaviors

Muscles convert metabolic energy into mechanical work. A computational model of muscle would ideally compute both effects efficiently for the entire range of muscle activation and kinematic conditions (force and length). We have extended the original Virtual Muscle algorithm (Cheng , 2000) to predict energy consumption for both slow- and fast-twitch muscle fiber types, partitioned according to the activation process (E(a)), cross-bridge cycling (E(xb)) and ATP/PCr recovery (E(recovery)). Because the terms of these functions correspond to identifiable physiological processes, their coefficients can be estimated directly from the types of experiments that are usually performed and extrapolated to dynamic conditions of natural motor behaviors. We also implemented a new approach to lumped modeling of the gradually recruited and frequency modulated motor units comprising each fiber type, which greatly reduced computational time. The emergent behavior of the model has significant implications for studies of optimal motor control and development of rehabilitation strategies because its trends were quite different from traditional estimates of energy (e.g., activation, force, stress, work, etc.). The model system was scaled to represent three different human experimental paradigms in which muscle heat was measured during voluntary exercise; predicted and observed energy rate agreed well both qualitatively and quantitatively.

Effects of muscle fatigue on multi-muscle synergies

We studied the effects of fatigue of ankle dorsiflexors on multi-muscle synergies defined as co-varied adjustments of elemental variables (M-modes) that stabilize a task-related performance variable (trajectory of the center of pressure, COP). M-modes were defined as muscle groups with parallel changes in activation levels. Healthy participants performed voluntary body sway in the anterior-posterior direction while trying to minimize sway in the medio-lateral direction at 0.25, 0.5, and 0.75 Hz. The trials were repeated before and during fatigue induced with a timed voluntary contraction against a constant load. Factor extraction using the principal component method was used to identify four M-modes within the space of integrated indices of muscle activity. Variance in the M-mode space at different phases across sway cycles was partitioned into two components, one that did not affect the average value of COP shift and the other that did. There were no significant effects of fatigue on variability of performance of the explicit task and on the amplitude of the COP shift. Variance of muscle activation indices and M-mode magnitudes increased during fatigue for muscles (and M-modes) both involved and not involved in the fatiguing exercise. Most of the M-mode variance increase was within the sub-space compatible with the unchanged COP trajectory resulting in an increase of the index of the multi-M-mode synergy. We conclude that one of the adaptive mechanisms to fatigue within a redundant multi-muscle system involves an increase in the variance of activation of non-fatigued muscles with a simultaneous increase in co-variation among muscle activations. The findings can be interpreted within the referent configuration hypothesis on the control of whole-body actions.

Interactive processes link the multiple symptoms of fatigue in sport competition

Muscle physiologists often describe fatigue simply as a decline of muscle force and infer this causes an athlete to slow down. In contrast, exercise scientists describe fatigue during sport competition more holistically as an exercise-induced impairment of performance. The aim of this review is to reconcile the different views by evaluating the many performance symptoms/measures and mechanisms of fatigue. We describe how fatigue is assessed with muscle, exercise or competition performance measures. Muscle performance (single muscle test measures) declines due to peripheral fatigue (reduced muscle cell force) and/or central fatigue (reduced motor drive from the CNS). Peak muscle force seldom falls by >30% during sport but is often exacerbated during electrical stimulation and laboratory exercise tasks. Exercise performance (whole-body exercise test measures) reveals impaired physical/technical abilities and subjective fatigue sensations. Exercise intensity is initially sustained by recruitment of new motor units and help from synergistic muscles before it declines. Technique/motor skill execution deviates as exercise proceeds to maintain outcomes before they deteriorate, e.g. reduced accuracy or velocity. The sensation of fatigue incorporates an elevated rating of perceived exertion (RPE) during submaximal tasks, due to a combination of peripheral and higher CNS inputs. Competition performance (sport symptoms) is affected more by decision-making and psychological aspects, since there are opponents and a greater importance on the result. Laboratory based decision making is generally faster or unimpaired. Motivation, self-efficacy and anxiety can change during exercise to modify RPE and, hence, alter physical performance. Symptoms of fatigue during racing, team-game or racquet sports are largely anecdotal, but sometimes assessed with time-motion analysis. Fatigue during brief all-out racing is described biomechanically as a decline of peak velocity, along with altered kinematic components. Longer sport events involve pacing strategies, central and peripheral fatigue contributions and elevated RPE. During match play, the work rate can decline late in a match (or tournament) and/or transiently after intense exercise bursts. Repeated sprint ability, agility and leg strength become slightly impaired. Technique outcomes, such as velocity and accuracy for throwing, passing, hitting and kicking, can deteriorate. Physical and subjective changes are both less severe in real rather than simulated sport activities. Little objective evidence exists to support exercise-induced mental lapses during sport. A model depicting mind-body interactions during sport competition shows that the RPE centre-motor cortex-working muscle sequence drives overall performance levels and, hence, fatigue symptoms. The sporting outputs from this sequence can be modulated by interactions with muscle afferent and circulatory feedback, psychological and decision-making inputs. Importantly, compensatory processes exist at many levels to protect against performance decrements. Small changes of putative fatigue factors can also be protective. We show that individual fatigue factors including diminished carbohydrate availability, elevated serotonin, hypoxia, acidosis, hyperkalaemia, hyperthermia, dehydration and reactive oxygen species, each contribute to several fatigue symptoms. Thus, multiple symptoms of fatigue can occur simultaneously and the underlying mechanisms overlap and interact. Based on this understanding, we reinforce the proposal that fatigue is best described globally as an exercise-induced decline of performance as this is inclusive of all viewpoints.

Effects of plantar-flexor muscle fatigue on the magnitude and regularity of center-of-pressure fluctuations

Control of bipedal posture is highly automatized but requires attentional investment, the amount of which varies between participants and with postural constraints, such as plantar-flexor muscle fatigue. Elevated attentional demands for standing with fatigued plantar flexors have been demonstrated using a stimulus-response reaction-time paradigm. Recently, a direct relation between the regularity of center-of-pressure (COP) fluctuations and the amount of attention invested in posture was proposed, according to which more regular COP fluctuations are expected with muscle fatigue than without. To study this prediction, we registered anterior-posterior COP fluctuations for bipedal stance with eyes closed prior to and after a plantar-flexor muscle fatiguing exercise protocol in 16 healthy young adults. We quantified the magnitude of COP fluctuations with conventional posturography and its regularity with sample entropy. The magnitude of COP fluctuations increased significantly with fatigued plantar flexors. In addition, more regular COP fluctuations were observed with fatigued plantar flexors, as evidenced by significantly lower sample entropy values. These findings corroborated our hypotheses. Moreover, COP regularity assisted in qualifying the change in sway magnitude with fatigue. Whereas increased sway is customary taken to reflect impaired postural control, we interpret it as a functional, but attention-demanding adaptation to the alteration of important posture-specific information.

Predictive value of strength loss as an indicator of muscle damage across multiple drop jumps

The aim of the present study was to compare the time-course of indirect symptoms of exercise-induced muscle damage after 50 and 100 drop jumps. A high-force, low intensity exercise protocol was used to avoid discrepancies regarding metabolic fatigue immediately after exercise. Healthy untrained men performed 50 ("50 group", n = 13) or 100 ("100 group", n = 13) intermittent (30-s interval between each jump) drop jumps, respectively, from the height of 0.5 m with a counter-movement to a 90° knee flexion angle and immediate maximal rebound. Voluntary and electrically evoked knee extensor strength was assessed using an isokinetic dynamometer immediately before and at 2 min after exercise, as well as 3, 7, and 14 days after exercise. Creatine kinase (CK) activity and muscle soreness within 7 days after exercise were also determined. The results showed that the decrease in voluntary isometric and isokinetic torque as well as 100 Hz stimulation torque at the end of the 50 and 100 drop jumps was very similar, while substantial differences were found in low-frequency fatigue, shift in optimal knee joint angle, muscle soreness, and CK activity. In addition, there was slower muscle strength recovery after the 100 drop jumps. It is concluded that the predictive value of strength loss immediately after exercise as an indicator of muscle damage decreases as the jump number increases. Still, stimuli must be large enough for muscle torque to reach the reduction plateau. Therefore, magnitude of exercise becomes a major factor in accuracy of muscle damage predictions.

A peripheral governor regulates muscle contraction

Active skeletal muscles are capable of keeping the global [adenosine triphosphate (ATP)] reasonably constant during exercise, whether it is mild exercise, activating a few motor units, or all-out exercise using a substantial mass of muscle. This could only be accomplished if there were regulatory processes in place not only to replenish ATP as quickly as possible, but also to modulate the rate of ATP use when that rate threatens to exceed the rate of ATP replenishment, a situation that could lead to metabolic catastrophe. This paper proposes that there is a regulatory process or "peripheral governor" that can modulate activation of muscle to avoid metabolic catastrophe. A peripheral governor, working at the cellular level, should be able to reduce the cellular rate of ATP hydrolysis associated with muscle contraction by attenuating activation. This would necessarily cause something we call peripheral fatigue (i.e., reduced contractile response to a given stimulation). There is no doubt that peripheral fatigue occurs. It has been demonstrated in isolated muscles, in muscles in situ with no central nervous system input, and in intact human subjects performing voluntary exercise with small muscle groups or doing whole-body exercise. The regulation of muscle activation is achieved in at least 3 ways (decreasing membrane excitability, inhibiting Ca2+ release through ryanodine receptors, and decreasing the availability of Ca2+ in the sarcoplasmic reticulum), making this a highly redundant control system. The peripheral governor attenuates cellular activation to reduce the metabolic demand, thereby preserving ATP and the integrity of the cell.

Muscle fatigue-induced enhancement of corticomuscular coherence following sustained submaximal isometric contraction of the tibialis anterior muscle

Oscillatory activity of the sensorimotor cortex shows coherence with muscle activity within the 15- to 35-Hz frequency band (β-band) during weak to moderate sustained isometric contraction. We aimed to examine the acute changes in this corticomuscular coupling due to muscle fatigue and its effect on the steadiness of the exerted force. We quantified the coherence between the electroencephalogram (EEG) recorded over the sensorimotor cortex and the rectified surface electromyogram (EMG) of the tibialis anterior muscle as well as the coefficient of variance of the dorsiflexion force (ForceCV) and sum of the auto-power spectral density function of the force within the β-band (Forceβ-PSD) during 30% of maximal voluntary contraction (MVC) for 60 s before (prefatiguing task) and after (postfatiguing task) muscle fatigue induced by sustained isometric contraction at 50% of MVC until exhaustion in seven healthy male subjects. The magnitude of the EEG-EMG coherence increased in the postfatiguing task in six of seven subjects. The maximal peak of EEG-EMG coherence stayed within the β-band in both pre- and postfatiguing tasks. Interestingly, two subjects, who had no significant EEG-EMG coherence in the prefatiguing task, showed significant coherence in the postfatiguing task. Additionally, ForceCV and Forceβ-PSD significantly increased after muscle fatigue. These data suggest that when muscle fatigue develops, the central nervous system enhances oscillatory muscular activity in the β-band stronger coupled with the sensorimotor cortex activity accomplishing the sustained isometric contraction at lower performance levels.

Time to task failure of trunk extensor muscles differs with load type

Time to task failure of trunk extensor muscles during seated submaximal isometric exertions was assessed in 18 healthy participants using 2 different load types. One required supporting an inertial load (position-matching task) whereas the 2nd required maintaining an equivalent torque against a rigid restraint (force-matching task). Time to task failure was significantly longer for position-matching tasks compared to the force-matching tasks. This finding is opposite to that reported for the appendicular muscles. A subset of 4 individuals completed a 2nd experiment to test the time to task failure of the elbow flexors in the position- and force-matching tasks. Time to task failure of the elbow flexors was significantly longer for the force-matching tasks compared to position matching. Thus, the same population shows that the effects of load type on time to task failure are opposite for the appendicular and axial muscles. This could be an important issue in understanding the mechanisms of task failure, and the endurance capacity of the trunk extensor muscles.

Degraded postural performance after muscle fatigue can be compensated by skin stimulation

It has been shown that the ability of humans to maintain a quiet standing posture is degraded after fatigue of the muscles at the ankle. Yet, it has also been shown that skin stimulation at the ankle could improve postural performance. In the present study, we addressed the issue of the interaction of these two effects. Subjects were tested with the eyes closed in four conditions of quiet stance: with or without skin stimulation and before and after a fatigue protocol. The skin was stimulated with a piece of medical adhesive tape on the Achilles' tendon. The fatigue protocol consisted of multiple sets of ankle plantar flexion of both legs on stool. Without fatigue, we did not observe a significant effect of the tape. With fatigue, subjects decreased their postural performance significantly, but this effect was cancelled out when a piece of tape was glued on the Achilles' tendon. This indicated that the beneficial effect of the tape was unveiled by the degraded postural performance after fatigue. We conclude that, when the muscular sensory input flow normally relevant for the postural system is impaired due to fatigue, the weight of cutaneous information increases for the successful representation of movements in space to adjust postural control.

Neuromuscular fatigue induced by alternating isometric contractions of the ankle plantar and dorsiflexors

Ankle muscle activity is important in regulating postural control as well as more complex movement tasks. Fatigue of these muscles clearly influences postural stability; however, the mechanisms responsible for this change have not been well characterized. In this study the fatigue produced in the plantar (PF) and dorsiflexors (DF) during intermittent, isometric contractions was examined and the recovery process was monitored for ten minutes post-fatigue. Fifteen healthy participants alternated between isometric PF and DF contractions until the torque was reduced to >50% of the pre-fatigue maximal voluntary contraction level in both directions. Peripheral fatigue was identified by measuring the change in the twitch torque and M-wave amplitude pre and post-fatigue. Central fatigue was determined by comparing the level of voluntary activation in the PF and DF between pre and post-fatigue. The fatigue protocol decreased the torque production in PF and DF to similar levels; however, the characteristics and recovery of the fatigue were different for the two muscle groups. This study demonstrates that although the torque produced by two antagonist muscles can be reduced to the same level, the mechanisms responsible for this change may not be similar and therefore may not impact motor tasks in the same way.

Fatigue-induced spontaneous termination point--nonequilibrium phase transitions and critical behavior in quasi-isometric exertion

The aim of the present study was to unravel the integration among component processes that jointly lead to a fatigue-induced spontaneous termination point (FISTP), and to pinpoint possible mechanisms underlying this phenomenon. On 5 days during 2 weeks, six participants, who were familiar with the task, performed a quasi-isometric arm-curl exercise holding an Olympic bar with an initial elbow flexion of 90 degrees to the point of spontaneous termination of the exercise due to exhaustion. The repeated measurements ANOVA of windowed variance measures based on the time series of the elbow angles revealed a highly significant effect of the exertion time on the intra- and inter-trial enhancement of the elbow-angle variability when approaching a FISTP. Spectral analysis showed that the variability was generated predominantly in time spans of 1 to about 10s suggesting that slower and hence higher order control loops are destabilized close to termination points. There was a significant, positive correlation between termination angle and angle variability. The discontinuous change of the elbow angle at the moment of exercise termination was preceded by an enhancement of intra- and inter-trial fluctuations of the elbow angle. This may hint at a nonlinear coupling between the participating neuromuscular components or, more generally, a nonlinear dynamical process underlying the FISTP phenomenon. This dynamical characteristic may indeed explain why other accounts based on separable sites of local, physiological limitations fail to elucidate the occurrence of FISTP.

Changes in the relative contribution of each leg to the control of quiet two-legged stance following unilateral plantar-flexor muscles fatigue

We used unilateral plantar-flexor muscles fatigue to assess the capacity of the central nervous system to adapt quiet two-legged stance control to a unilateral ankle neuromuscular perturbation. Eighteen young healthy adults stood barefoot with their eyes closed and were asked to sway as little as possible. The Experimental group (n = 9) executed this postural task in two conditions, before (pre-test) and following the completion of a fatiguing exercise designed to induce a muscular fatigue in the plantar-flexor muscles of their dominant leg (post-test). For the Control group (n = 9), this fatiguing exercise was replaced with a standing rest period corresponding to the fatiguing exercise. Results of the Experimental group showed no significant difference between the weightbearing index measured in the pre-test condition and that observed in the post-test condition. Results further revealed that unilateral plantar-flexor muscles fatigue yielded different effects on the centre of foot pressure (CoP) displacements under the non-fatigued leg and under the fatigued leg: a wider surface area of the CoP displacements was observed under the non-fatigued than under the fatigued leg, and a higher mean speed of the CoP displacements was observed under the non-fatigued leg only in the post-test relative to the pre-test condition. These findings evidenced that the contribution of each leg to the control of quiet two-legged stance is modified as a result of muscle fatigue of unilateral plantar-flexor muscles. The greater contribution of the non-fatigued leg could be viewed as a fatigue-induced adaptive change in the control of quiet two-legged stance in response to an alteration of the unilateral ankle neuromuscular function induced by unilateral plantar-flexor muscles fatigue.

Relationships between maximum holding time and ratings of pain and exertion differ for static and dynamic tasks

Ratings of perceived discomfort (0 to 10 scale) have been used to estimate relative maximum holding times (%MHT), particularly for static tasks. A linear 1:10% ratio has been described, where a rating of 5 corresponds to 50%MHT. It is unknown whether this linear ratio is valid for dynamic tasks. Additionally, whether pain or exertion are the primary predictors of discomfort is not clear. Thus, the goal of this study was to investigate both pain and exertion ratings during static (50% maximum; N=42) and dynamic (75% maximum; N=34) elbow flexion tasks until failure. Gender, self-reported physical activity, and peak torque were also assessed. Pain and exertion ratings reasonably matched the 1:10% ratio during the static task but not during the dynamic task. Exertion related more strongly to MHT than pain in both tasks. Neither gender nor activity level appeared to influence perceptual ratings, but peak torque explained approximately 20% of the variance in MHT.

Unraveling the neurophysiology of muscle fatigue

Despite 100years of research since the seminal work of Angelo Mosso (1846-1910), our understanding of the interactions between the nervous system and muscle during the performance of fatiguing contractions remains rather rudimentary. Although the nervous system simply needs to provide an activation signal that will elicit the net muscle torque required for a prescribed action, changes in the number and diversity of synaptic inputs that must be integrated by the spinal motor neurons to accommodate the changes in the force-producing capabilities of the muscle fibers complicate the process of generating the requisite activation signal. This brief review examines two ways in which the activation signal can be compromised during sustained contractions and thereby contribute to the rate at which the muscles fatigue. These examples provide insight on the types of adjustments that occur in the nervous system during fatiguing contractions, but emphasize that much remains to be learned about the physiological processes that contribute to the phenomenon known as muscle fatigue.

Change in manipulation with muscle fatigue

Muscle fatigue is defined as an exercise-induced reduction in the force-generating capacity of muscle. Here, we investigated the effect of muscle fatigue on hand dexterity. Healthy adults (n = 17) gripped and lifted an object (0.342 kg) five times before and after two interventions. The interventions, performed on separate days, involved 2 min of rest (control) or sustained maximal pinch grip that reduced maximal force by 60% (fatigue). Horizontal grip force (GF), vertical lift force (LF) and first dorsal interosseous electromyographic activity (EMG) were measured. The lift (dynamic) and hold (stationary) phase of the task were analysed. Before the intervention, there was no significant difference between the control and fatigue conditions for the 15 measured parameters. However, post-intervention GF was reduced with fatigue compared with the control condition (hold phase), whereas GF coefficient of variation (hold phase) and root mean square EMG (lift phase) increased with fatigue. Fatigue also disrupted the temporal relationship between GF and LF (assessed by cross-correlation of the derivative of GF and LF). The maximum cross-correlation coefficient was significantly reduced with fatigue compared with the control condition. Grip strategy and the kinetics of the lifting movement (minimum LF, maximum LF, maximum derivative of LF, and maximum acceleration) were unchanged with fatigue. Our results suggest that fatigued subjects generate more EMG to lift and hold an object but produce less force and are less able to match changes in LF with changes in GF. Fatigued subjects also exhibit greater fluctuation in GF while holding objects.

Muscle activity and time to task failure differ with load compliance and target force for elbow flexor muscles

The primary purpose of this study was to determine the influence of load compliance on time to failure during sustained isometric contractions performed with the elbow flexor muscles at four submaximal target forces. Subjects pulled against a rigid restraint during the force task and maintained a constant elbow angle, while supporting an equivalent inertial load during the position task. Each task was sustained for as long as possible. Twenty-one healthy adults (23 ± 6 yr; 11 men) participated in the study. The maximal voluntary contraction (MVC) force was similar (P = 0.95) before the subjects performed the force and position tasks at each of the four target forces: 20, 30, 45, and 60% of MVC force. The time to task failure was longer for the force tasks (576 ± 80 and 325 ± 70 s) than for the position tasks (299 ± 77 and 168 ± 35 s) at target forces of 20 and 30% (P < 0.001), but was similar for the force tasks (178 ± 35 and 86 ± 14 s) and the position tasks (132 ± 29 and 87 ± 14 s) at target forces of 45 and 60% (P > 0.19). The briefer times to failure for the position task at the lower forces were accompanied by greater rates of increase in elbow flexor muscle activity, mean arterial pressure, heart rate, and rating of perceived exertion. There was no difference in the estimates of external mechanical work at any target force. The dominant mechanisms limiting time to failure of sustained isometric contractions with the elbow flexor muscles appear to change at target forces between 30 and 45% MVC, with load compliance being a significant factor at lower forces only.

Influence of fatigue on hand muscle coordination and EMG-EMG coherence during three-digit grasping

Fingertip force control requires fine coordination of multiple hand muscles within and across the digits. While the modulation of neural drive to hand muscles as a function of force has been extensively studied, much less is known about the effects of fatigue on the coordination of simultaneously active hand muscles. We asked eight subjects to perform a fatiguing contraction by gripping a manipulandum with thumb, index, and middle fingers while matching an isometric target force (40% maximal voluntary force) for as long as possible. The coordination of 12 hand muscles was quantified as electromyographic (EMG) muscle activation pattern (MAP) vector and EMG-EMG coherence. We hypothesized that muscle fatigue would cause uniform changes in EMG amplitude across all muscles and an increase in EMG-EMG coherence in the higher frequency bands but with an invariant heterogeneous distribution across muscles. Muscle fatigue caused a 12.5% drop in the maximum voluntary contraction force (P < 0.05) at task failure and an increase in the SD of force (P < 0.01). Although EMG amplitude of all muscles increased during the fatiguing contraction (P < 0.001), the MAP vector orientation did not change, indicating that a similar muscle coordination pattern was used throughout the fatiguing contraction. Last, EMG-EMG coherence (0-35 Hz) was significantly greater at the end than at the beginning of the fatiguing contraction (P < 0.01) but was heterogeneously distributed across hand muscles. These findings suggest that similar mechanisms are involved for modulating and sustaining digit forces in nonfatiguing and fatiguing contractions, respectively.

Adaptive increase in force variance during fatigue in tasks with low redundancy

We tested a hypothesis that fatigue of an element (a finger) leads to an adaptive neural strategy that involves an increase in force variability in the other finger(s) and an increase in co-variation of commands to fingers to keep total force variability relatively unchanged. We tested this hypothesis using a system with small redundancy (two fingers) and a marginally redundant system (with an additional constraint related to the total moment of force produced by the fingers, unstable condition). The subjects performed isometric accurate rhythmic force production tasks by the index (I) finger and two fingers (I and middle, M) pressing together before and after a fatiguing exercise by the I finger. Fatigue led to a large increase in force variance in the I-finger task and a smaller increase in the IM-task. We quantified two components of variance in the space of hypothetical commands to fingers, finger modes. Under both stable and unstable conditions, there was a large increase in the variance component that did not affect total force and a much smaller increase in the component that did. This resulted in an increase in an index of the force-stabilizing synergy. These results indicate that marginal redundancy is sufficient to allow the central nervous system to use adaptive increase in variability to shield important variables from effects of fatigue. We offer an interpretation of these results based on a recent development of the equilibrium-point hypothesis known as the referent configuration hypothesis.

The effect of recovery time on strength performance following a high-intensity bench press workout in males and females

PURPOSE

To determine the effects of training sessions, involving high-resistance, low-repetition bench press exercise, on strength recovery patterns, as a function of gender and training background.

METHODS

The subjects were 12 athletes (6 males and 6 females) and age-matched college students of both genders (4 males and 4 females). The subjects completed a 3-wk resistance training program involving a bench press exercise, 3 d/wk, to become familiar with the testing procedure. After the completion of the resistance training program, the subjects, on three consecutive weeks, participated in two testing sessions per week, baseline session and recovery session. During the testing sessions, subjects performed five sets of the bench press exercise at 50% to 100% of perceived five repetition maximum (5-RM). Following the weekly baseline sessions, subjects rested during a 4-, 24-, or 48-h recovery period. Strength measurements were estimates of one repetition maximum (1-RM), using equivalent percentages for the number of repetitions completed by the subject at the perceived 5-RM effort of the bench press exercise.

RESULTS

The full-factorial ANOVA model revealed a Gender by Recovery Period by Testing Session interaction effect, F(2, 32) = 10.65; P < .05. Among male subjects, decreases in estimated 1-RM were detected at the 4- and 24-h recovery times. There were no differences in muscle strength among the female subjects, regardless of recovery time.

CONCLUSIONS

For bench press exercises, using different recovery times of 48 h for males and 4 h for females may optimize strength development as a function of gender.

Quadriceps low-frequency fatigue and muscle pain are contraction-type-dependent

Eccentric contractions are thought to induce greater low-frequency fatigue (LFF) and delayed-onset muscle soreness (DOMS) than concentric contractions. In this study we induced a similar amount of eccentric quadriceps muscle fatigue during either a concentric or eccentric fatigue task to compare LFF and DOMS. Subjects (n = 22) performed concentric or eccentric fatigue tasks using 75% of the pre-fatigue maximal voluntary contraction (MVC) torque, and both tasks ended when the MVC eccentric torque decreased by 25% pre-fatigue. When subjects reached the failure criterion during the eccentric and concentric tasks, the concentric MVC was 78 +/- 9.8% and 64 +/- 8.4% of initial, respectively. LFF was greater after the concentric than the eccentric protocols (22 +/- 12.4% and 15 +/- 7.6% increase, respectively; P < 0.01). DOMS was over 100% greater for the eccentric protocol. These results indicate that DOMS is not dependent on the events that contribute to LFF.

Effect of light-emitting diodes therapy (LEDT) on knee extensor muscle fatigue

OBJECTIVE

The purpose of this study was to evaluate the effects of light-emitting diodes therapy (LEDT) on quadriceps muscle fatigue by using torque values from the isokinetic dynamometer as an outcome measure.

BACKGROUND DATA

Light therapy is considered an innovative way to prevent muscle fatigue. Although positive results have been obtained in animal models and in clinical experiments, no results are available on the effects of this therapeutic modality on human performance studies with isokinetic dynamometry.

MATERIALS AND METHODS

Seventeen healthy and physically active male volunteers were included in a crossover randomized double-blinded placebo-controlled trial. They performed two sessions of an isokinetic fatigue test (30 maximal concentric knee flexion-extension contractions; range of motion, 90 degrees; angular velocity, 180 degrees per second) after LEDT or placebo treatment. Maximal knee extensor muscle isokinetic voluntary contractions were performed before (PRE-MVC) and after (POST-MVC) the fatigue test. LEDT treatment was performed with a multidiode cluster probe (34 red diodes of 660 nm, 10 mW; 35 infrared diodes of 850 nm, 30 mW) at three points of the quadriceps muscle, with a total irradiating dose of 125.1 J.

RESULTS

No differences were observed in the PRE-MVC between LEDT (284.81 ± 4.52 Nm) and placebo (282.65 ± 52.64 Nm) treatments. However, for the POST-MVC, higher torques (p = 0.034) were observed for LEDT (237.68 ± 48.82 Nm) compared with placebo (225.68 ± 44.14 Nm) treatment.

CONCLUSION

LEDT treatment produced a smaller maximal isometric torque decrease after high-intensity concentric isokinetic exercise, which is consistent with an increase in performance.